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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Borneo Journal of Medical Laboratory Technology
Nasha Aqeela
Universitas Batam
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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Manajemen Pelayanan Kebidanan Terpadu Terhadap Kejadian Komplikasi Persalinan Devy Lestari Nurul Aulia; Arum Dwi Anjani; Dwi Romania; Divani Salsa Billa; Indah Khairunnisa Salsabilla; Gracia Alfa Riani; Nasha Aqeela; Selvi Andini Isna Rahmadhani; Tera Nefertiti
Borneo Journal of Medical Laboratory Technology Vol. 8 No. 1 (2025): Borneo Journal of Medical Laboratory Technology
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjmlt.v8i1.10418

Abstract

Manajemen pelayanan kebidanan terpadu merupakan pendekatan komprehensif yang bertujuan untuk meningkatkan kualitas pelayanan kesehatan ibu dan bayi, serta mengurangi angka kematian ibu (AKI) dan angka kematian bayi (AKB) di Indonesia. Pendekatan ini mencakup pelayanan antenatal care (ANC) yang meliputi enam kali kunjungan selama kehamilan, perencanaan persalinan dan pencegahan komplikasi (P4K), serta pelayanan pascapersalinan yang terkoordinasi. Penelitian ini bertujuan untuk mengevaluasi efektivitas manajemen pelayanan kebidanan terpadu dalam mengurangi komplikasi persalinan dan kematian ibu serta bayi, dengan menganalisis hasil penelitian terkait yang diterbitkan antara 2021 hingga 2025. Hasil tinjauan literatur menunjukkan bahwa implementasi ANC terpadu dapat menurunkan risiko komplikasi persalinan hingga 25%-30%. Program P4K terbukti efektif dalam mengurangi keterlambatan penanganan komplikasi dengan memastikan kesiapan fasilitas kesehatan dan keterlibatan keluarga dalam proses pengambilan keputusan. Namun, tantangan yang dihadapi termasuk ketidakmerataan akses pelayanan kesehatan di daerah terpencil dan keterbatasan pelatihan bagi tenaga medis dalam manajemen komplikasi. Penguatan kapasitas tenaga kesehatan, peningkatan infrastruktur, serta penerapan model pelayanan berbasis bukti (evidence-based practice) dan berpusat pada pasien (patient-centered care) menjadi kunci untuk meningkatkan kualitas pelayanan kebidanan terpadu. Secara keseluruhan, manajemen pelayanan kebidanan terpadu berpotensi besar dalam menurunkan AKI dan AKB, asalkan diiringi dengan kebijakan yang berbasis data dan peningkatan kolaborasi antara sektor kesehatan dan pemerintah.
The Role of Midwives in The Management OG High-Risk Pregnancy Care: Systematic Literature Review Devy Lestari Nurul Aulia; Arum Dwi Anjani; Divani Salsa Billa; Selvi Andini Isna Ramadhani; Rini Rahmadhani; Aulia Rani; Yanti Febyola Purba; Nasha Aqeela
Viva Medika Vol 19 No 1 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i1.2239

Abstract

High-risk pregnancy represents a condition that increases the likelihood of complications for both the mother and the fetus and therefore requires appropriate and comprehensive management. Midwives, as frontline healthcare providers, perform strategic roles in early detection, continuous monitoring, health education, and referral coordination in the management of high-risk pregnancies.This study analyzes the role of midwives in high-risk pregnancy care management using a Systematic Literature Review (SLR) approach. The review examined scientific articles retrieved from national and international databases, including Google Scholar, PubMed, ScienceDirect, SINTA, and Garuda. The search process identified 275 articles published between 2019 and 2025. Application of predefined inclusion and exclusion criteria resulted in the selection of 10 relevant articles for detailed analysis. The findings indicate that midwives contribute to the reduction of pregnancy complications and the improvement of maternal and neonatal safety through early detection of risk factors, routine monitoring of maternal and fetal conditions, provision of health education, and coordination of referral services. Continuity of midwifery care improves adherence to antenatal care visits and supports earlier management of pregnancy complications. Educational interventions delivered by midwives increase pregnant women’s knowledge, awareness, and healthy behaviors during pregnancy. Improved maternal understanding of pregnancy health contributes to prevention of delays in complication management and supports better pregnancy outcomes for both mothers and infants
Co-Authors Arum Dwi Anjani Aulia Rani Aulia, Devy Lestari Nurul Divani Salsa Billa Dwi Romania Gracia Alfa Riani Indah Khairunnisa Salsabilla Rini Rahmadhani Selvi Andini Isna Rahmadhani Selvi Andini Isna Ramadhani Tera Nefertiti Yanti Febyola Purba